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    Let Me Go

    Pope John Paul II at death.By Colleen Carroll CampbellPosted: Wednesday, March 22, 2006

    ARTICLENational Review OnlinePublication Date: March 22, 2006

    Let Me Go, the new book co-written by Pope John Paul II's personal physician,

    reveals few details about the pope's death that were not already divulged in theofficial Vatican report last fall. But news writers have done their best to inciteinterest, by highlighting Dr. Renato Buzzonetti's testimony that John Paul tried to delay the tracheotomy heunderwent in his last hospital visit, refused to return to the hospital when death was imminent, and receivedcare from physicians who rejected "any new aggressive therapeutic measure" on the day he died. Headlinestrumpet these nuggets suggestively: "Pope John Paul Shunned Medical Treatment," shouts one; "John Paula Tough Patient," proclaims another.

    Given the headlines and the tone of the reports, casual readers might assume that the decisions made bythe pope and his physicians fell short of the Catholic Church's standard for sustaining life. It is a highstandard, after all. The Church has always taught that both passive and active euthanasia are grave evilsand the late pope regularly criticized the "culture of death" in which physicians give up too soon on the livesof the frail and elderly. In 2004, as Catholic hospitals were increasingly sanctioning the removal of food andwater from patients in a persistent vegetative state and Michael Schiavo was winning his battle to starve his

    wife, Pope John Paul II declared that food and water are always part of the basic care due to all patients,even those in a persistent vegetative state. He allowed only two exceptions to this principle: Food and watermay be taken away when the patient's body is no longer able to absorb them or when they no longeralleviate the patient's suffering. An example of the latter case is a patient who is on the brink of death fromanother underlying cause and food and water are of no benefit, use, or comfort to him anymore.

    The Church's teachings on end-of-life issues, and the late pope's articulation and clarification of thoseteachings, had long infuriated euthanasia advocates. They also riled many Catholic ethicists and health-careprofessionals, who criticized the pope's position on end-of-life issues as severe, unrealistic, and inconsistentwith the Church's longstanding distinction between ordinary and extraordinary means of sustaining life. IfJohn Paul's own deathbed decisions contradicted Church teachings as he had proclaimed them, that wouldbe news.

    The key to interpreting the circumstances of John Paul's death can be found in the very distinction that hiscritics accused him of ignoring. The Catholic Church has long held that ordinary or proportionate care --which is beneficial, useful, and not unreasonably burdensome to the patient -- is morally obligatory.Extraordinary or disproportionate care -- which may include exotic, experimental, or excessivelyburdensome treatments that are unlikely to benefit a patient or that include unreasonable costs relative tobenefits -- is not morally obligatory, though a patient may choose to accept it. The categories of ordinaryand extraordinary care allow us to navigate between two dangerous extremes: the vitalism that would haveus preserve life at all costs by any means necessary without regard for the burdens imposed on the patient,and the fatalism that would tempt us to give up on gravely ill patients before their time and violate their rightsto life and basic care.

    When it comes to discerning the difference between ordinary and extraordinary care, Catholic teachingmaintains a strong bias for life. Decisions on end-of-life issues must be consistent with the core Catholicprinciple that requires us to do what we can within reason to preserve life and never do anything directlyintended to end life.

    The details published in Let Me Gosuggest that in his final days, John Paul upheld this principle and avoided

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    both the fatalism of his critics and the vitalism of which they accused him. He patiently endured years ofsuffering from Parkinson's disease and accepted feeding and breathing tubes in his final weeks to sustainhis life. On March 31, when faced with what his doctors recognized as imminent death, the pope decided tostay home, surrounded by his loved ones, and spend his waning hours praying and preparing to meet God.John Paul uttered his final words on April 2: "Let me go to the house of the Father." Then he lapsed into abrief coma. After running an electrocardiogram for more than 20 minutes that night, Buzzonetti declared himdead.

    The new details of the pope's death reaffirm what we already knew. John Paul loved this life and acceptedits joys and sorrows in equal measure. He did not seek an easy exit from suffering. Nor did he ignore thereality of his own death. He faced it with courage, trusting in the promise of eternal life that he hadproclaimed to the whole world, the promise upon which he had staked his entire life.

    -- Colleen Carroll Campbell, an NRO contributor, is a fellow at theEthics and Public Policy Center, a

    former speechwriter to President George W. Bush, and author ofThe New Faithful: Why Young Adults Are

    Embracing Christian Orthodoxy.

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